5. ACTIVITY AND PERFORMANCE
5.1.16 Could the Department provide details
of how many consultant episodes of patients with mental illness
there were, along with the rate per 1,000 population, among residents
of each (a) SHA and (b) PCT area from 2003-04? (Q55)
Answer
1. The information requested is given in
tables 55a (not printed, available at http://www.publications.parliament.uk/pa/cm/200910/cmselect/cmhealth/269/excel/excel.htm)
55b and 55c.
Table 55b
NUMBER OF CONSULTANT EPISODES (FINISHED AND
UNFINISHED) FOR PATIENTS WITH MENTAL ILLNESS, AND RATES PER 1,000
POPULATION BY SHA OF RESIDENCE AND PCT OF RESIDENCE IN NHS HOSPITALS
AND THE INDEPENDENT SECTOR IN ENGLAND, COMMISSIONED BY ENGLISH
NHS IN THE YEAR 2006-07
|
| |
| 2006-07
|
| Organisation code |
| Total | Rate per 1,000
population
|
| | England
| 160,833 | 3.17
|
|
| Q30 | NORTH EAST STRATEGIC HEALTH AUTHORITY
| 9,958 | 3.90
|
| 5D7 | NEWCASTLE PCT | 927
| 3.43 |
| 5D8 | NORTH TYNESIDE PCT |
547 | 2.80
|
| 5D9 | HARTLEPOOL PCT | 433
| 4.75 |
| 5E1 | NORTH TEES PCT | 723
| 3.82 |
| 5J9 | DARLINGTON PCT | 624
| 6.28 |
| 5KF | GATESHEAD PCT | 623
| 3.27 |
| 5KG | SOUTH TYNESIDE PCT |
496 | 3.28
|
| 5KL | SUNDERLAND TEACHING PCT
| 709 | 2.53
|
| 5KM | MIDDLESBROUGH PCT |
909 | 6.57
|
| 5ND | COUNTY DURHAM PCT |
2,252 | 4.50
|
| 5QR | REDCAR AND CLEVELAND PCT
| 797 | 5.71
|
| TAC | NORTHUMBERLAND CARE TRUST
| 918 | 2.96
|
| Q31 | NORTH WEST STRATEGIC HEALTH AUTHORITY
| 24,463 | 3.54
|
| 5CC | BLACKBURN WITH DARWEN PCT
| 590 | 4.18
|
| 5F5 | SALFORD PCT | 765
| 3.51 |
| 5F7 | STOCKPORT PCT | 1,242
| 4.43 |
| 5HG | ASHTON, LEIGH AND WIGAN PCT
| 1,060 | 3.47
|
| 5HP | BLACKPOOL PCT | 675
| 4.73 |
| 5HQ | BOLTON PCT | 817
| 3.11 |
| 5J2 | WARRINGTON PCT | 551
| 2.84 |
| 5J4 | KNOWSLEY PCT | 709
| 4.69 |
| 5J5 | OLDHAM PCT | 1,002
| 4.56 |
| 5JX | BURY PCT | 742
| 4.06 |
| 5LH | TAMESIDE AND GLOSSOP PCT (7)
| 1,238 | 5.00
|
| 5NE | CUMBRIA PCT | 1,324
| 2.67 |
| 5NF | NORTH LANCASHIRE PCT |
913 | 2.77
|
| 5NG | CENTRAL LANCASHIRE PCT
| 1,671 | 3.70
|
| 5NH | EAST LANCASHIRE TEACHING PCT
| 1,403 | 3.65
|
| 5NJ | SEFTON PCT | 802
| 2.89 |
| 5NK | WIRRAL PCT | 916
| 2.94 |
| 5NL | LIVERPOOL PCT | 1,955
| 4.48 |
| 5NM | HALTON AND ST HELENS PCT
| 1,027 | 3.46
|
| 5NN | WESTERN CHESHIRE PCT |
505 | 2.15
|
| 5NP | CENTRAL AND EASTERN CHESHIRE PCT
| 1,046 | 2.32
|
| 5NQ | HEYWOOD, MIDDLETON AND ROCHDALE PCT
| 893 | 4.32
|
| 5NR | TRAFFORD PCT | 666
| 3.14 |
| 5NT | MANCHESTER PCT | 1,951
| 4.32 |
| Q32 | YORKSHIRE AND THE HUMBER STRATEGIC HEALTH AUTHORITY
| 15,066 | 2.93
|
| 5AN | NORTH EAST LINCOLNSHIRE PCT
| 248 | 1.55
|
| 5EF | NORTH LINCOLNSHIRE PCT
| 239 | 1.54
|
| 5H8 | ROTHERHAM PCT | 775
| 3.06 |
| 5J6 | CALDERDALE PCT | 448
| 2.26 |
| 5JE | BARNSLEY PCT | 821
| 3.67 |
| 5N1 | LEEDS PCT | 2,354
| 3.14 |
| 5N2 | KIRKLEES PCT | 899
| 2.26 |
| 5N3 | WAKEFIELD DISTRICT PCT
| 1,143 | 3.56
|
| 5N4 | SHEFFIELD PCT | 1,681
| 3.20 |
| 5N5 | DONCASTER PCT | 670
| 2.31 |
| 5NV | NORTH YORKSHIRE AND YORK PCT
| 2,636 | 3.37
|
| 5NW | EAST RIDING OF YORKSHIRE PCT
| 503 | 1.52
|
| 5NX | HULL TEACHING PCT |
522 | 2.04
|
| 5NY | BRADFORD AND AIREDALE TEACHING PCT
| 2,127 | 4.31
|
| Q33 | EAST MIDLANDS STRATEGIC HEALTH AUTHORITY
| 13,118 | 3.05
|
| 5EM | NOTTINGHAM CITY PCT |
1,258 | 4.39
|
| 5ET | BASSETLAW PCT | 361
| 3.24 |
| 5N6 | DERBYSHIRE COUNTY PCT
| 2,150 | 2.98
|
| 5N7 | DERBY CITY PCT | 596
| 2.52 |
| 5N8 | NOTTINGHAMSHIRE COUNTY TEACHING PCT
| 1,715 | 2.61
|
| 5N9 | LINCOLNSHIRE TEACHING PCT
| 1,572 | 2.28
|
| 5PA | LEICESTERSHIRE COUNTY AND RUTLAND PCT
| 2,095 | 3.11
|
| 5PC | LEICESTER CITY PCT |
1,506 | 5.20
|
| 5PD | NORTHAMPTONSHIRE TEACHING PCT
| 1,865 | 2.79
|
| Q34 | WEST MIDLANDS STRATEGIC HEALTH AUTHORITY
| 14,184 | 2.64
|
| 5CN | HEREFORDSHIRE PCT |
673 | 3.78
|
| 5M1 | SOUTH BIRMINGHAM PCT |
1,115 | 3.29
|
| 5M2 | SHROPSHIRE COUNTY PCT
| 636 | 2.20
|
| 5M3 | WALSALL TEACHING PCT |
342 | 1.34
|
| 5MD | COVENTRY TEACHING PCT
| 962 | 3.14
|
| 5MK | TELFORD AND WREKIN PCT
| 325 | 2.01
|
| 5MV | WOLVERHAMPTON CITY PCT
| 617 | 2.61
|
| 5MX | HEART OF BIRMINGHAM TEACHING PCT
| 651 | 2.40
|
| 5PE | DUDLEY PCT | 582
| 1.91 |
| 5PF | SANDWELL PCT | 678
| 2.36 |
| 5PG | BIRMINGHAM EAST AND NORTH PCT
| 900 | 2.27
|
| 5PH | NORTH STAFFORDSHIRE PCT
| 858 | 4.06
|
| 5PJ | STOKE ON TRENT PCT |
1,299 | 5.25
|
| 5PK | SOUTH STAFFORDSHIRE PCT
| 1,187 | 1.97
|
| 5PL | WORCESTERSHIRE PCT |
1,618 | 2.93
|
| 5PM | WARWICKSHIRE PCT |
1,354 | 2.59
|
| TAM | SOLIHULL CARE TRUST |
387 | 1.91
|
| Q35 | EAST OF ENGLAND STRATEGIC HEALTH AUTHORITY
| 15,375 | 2.74
|
| 5GC | LUTON PCT | 518
| 2.77 |
| 5P1 | SOUTH EAST ESSEX PCT |
1,338 | 4.06
|
| 5P2 | BEDFORDSHIRE PCT |
918 | 2.27
|
| 5P3 | EAST AND NORTH HERTFORDSHIRE PCT
| 1,027 | 1.95
|
| 5P4 | WEST HERTFORDSHIRE PCT
| 1,023 | 1.93
|
| 5PN | PETERBOROUGH PCT |
366 | 2.24
|
| 5PP | CAMBRIDGESHIRE PCT |
1,942 | 3.29
|
| 5PQ | NORFOLK PCT | 1,702
| 2.30 |
| 5PR | GREAT YARMOUTH AND WAVENEY PCT
| 711 | 3.38
|
| 5PT | SUFFOLK PCT | 1,227
| 2.10 |
| 5PV | WEST ESSEX PCT | 1,007
| 3.66 |
| 5PW | NORTH EAST ESSEX PCT |
1,101 | 3.49
|
| 5PX | MID ESSEX PCT | 998
| 2.76 |
| 5PY | SOUTH WEST ESSEX PCT |
1,497 | 3.85
|
| Q36 | LONDON STRATEGIC HEALTH AUTHORITY
| 29,166 | 3.88
|
| 5A4 | HAVERING PCT | 496
| 2.18 |
| 5A5 | KINGSTON PCT | 578
| 3.71 |
| 5A7 | BROMLEY PCT | 1,153
| 3.85 |
| 5A8 | GREENWICH TEACHING PCT
| 1,475 | 6.63
|
| 5A9 | BARNET PCT | 417
| 1.27 |
| 5AT | HILLINGDON PCT | 717
| 2.87 |
| 5C1 | ENFIELD PCT | 1,257
| 4.41 |
| 5C2 | BARKING AND DAGENHAM PCT
| 515 | 3.11
|
| 5C3 | CITY AND HACKNEY TEACHING PCT
| 1,561 | 7.22
|
| 5C4 | TOWER HAMLETS PCT |
1,013 | 4.76
|
| 5C5 | NEWHAM PCT | 1,203
| 4.84 |
| 5C9 | HARINGEY TEACHING PCT
| 1,370 | 6.07
|
| 5H1 | HAMMERSMITH AND FULHAM PCT
| 747 | 4.36
|
| 5HX | EALING PCT | 1,105
| 3.61 |
| 5HY | HOUNSLOW PCT | 814
| 3.72 |
| 5K5 | BRENT TEACHING PCT |
828 | 3.05
|
| 5K6 | HARROW PCT | 94
| 0.44 |
| 5K7 | CAMDEN PCT | 1,488
| 6.54 |
| 5K8 | ISLINGTON PCT | 1,249
| 6.73 |
| 5K9 | CROYDON PCT | 1,040
| 3.09 |
| 5LA | KENSINGTON AND CHELSEA PCT
| 667 | 3.75
|
| 5LC | WESTMINSTER PCT | 966
| 4.17 |
| 5LD | LAMBETH PCT | 1,198
| 4.41 |
| 5LE | SOUTHWARK PCT | 1,052
| 3.91 |
| 5LF | LEWISHAM PCT | 1,106
| 4.33 |
| 5LG | WANDSWORTH PCT | 1,174
| 4.21 |
| 5M6 | RICHMOND AND TWICKENHAM PCT
| 576 | 3.21
|
| 5M7 | SUTTON AND MERTON PCT
| 1,004 | 2.63
|
| 5NA | REDBRIDGE PCT | 844
| 3.35 |
| 5NC | WALTHAM FOREST PCT |
766 | 3.45
|
| TAK | BEXLEY CARE TRUST |
693 | 3.13
|
| Q37 | SOUTH EAST COAST STRATEGIC HEALTH AUTHORITY
| 11,819 | 2.79
|
| 5L3 | MEDWAY PCT | 986
| 3.92 |
| 5LQ | BRIGHTON AND HOVE CITY PCT
| 1,216 | 4.84
|
| 5P5 | SURREY PCT | 2,365
| 2.20 |
| 5P6 | WEST SUSSEX PCT | 2,249
| 2.92 |
| 5P7 | EAST SUSSEX DOWNS AND WEALD PCT
| 955 | 2.89
|
| 5P8 | HASTINGS AND ROTHER PCT
| 639 | 3.63
|
| 5P9 | WEST KENT PCT | 1,660
| 2.51 |
| 5QA | EASTERN AND COASTAL KENT PCT
| 1,749 | 2.43
|
| Q38 | SOUTH CENTRAL STRATEGIC HEALTH AUTHORITY
| 11,063 | 2.77
|
| 5CQ | MILTON KEYNES PCT |
401 | 1.74
|
| 5FE | PORTSMOUTH CITY TEACHING PCT
| 765 | 3.90
|
| 5L1 | SOUTHAMPTON CITY PCT |
974 | 4.26
|
| 5QC | HAMPSHIRE PCT | 3,900
| 3.08 |
| 5QD | BUCKINGHAMSHIRE PCT |
1,364 | 2.72
|
| 5QE | OXFORDSHIRE PCT | 1,291
| 2.13 |
| 5QF | BERKSHIRE WEST PCT |
761 | 1.71
|
| 5QG | BERKSHIRE EAST PCT (7)
| 981 | 2.57
|
| 5QT | ISLE OF WIGHT NHS PCT
| 626 | 4.52
|
| Q39 | SOUTH WEST STRATEGIC HEALTH AUTHORITY
| 16,621 | 3.24
|
| 5A3 | SOUTH GLOUCESTERSHIRE PCT
| 541 | 2.13
|
| 5F1 | PLYMOUTH TEACHING PCT
| 948 | 3.82
|
| 5FL | BATH AND NORTH EAST SOMERSET PCT
| 591 | 3.37
|
| 5K3 | SWINDON PCT (7) | 426
| 2.21 |
| 5M8 | NORTH SOMERSET PCT |
577 | 2.86
|
| 5QH | GLOUCESTERSHIRE PCT |
1,725 | 2.98
|
| 5QJ | BRISTOL PCT | 1,610
| 3.92 |
| 5QK | WILTSHIRE PCT | 1,017
| 2.27 |
| 5QL | SOMERSET PCT | 2,048
| 3.95 |
| 5QM | DORSET PCT | 1,453
| 3.61 |
| 5QN | BOURNEMOUTH AND POOLE PCT
| 1,440 | 4.83
|
| 5QP | CORNWALL AND ISLES OF SCILLY PCT
| 1,672 | 3.18
|
| 5QQ | DEVON PCT | 2,180
| 2.94 |
| TAL | TORBAY CARE TRUST |
393 | 2.95
|
|
| Source: |
| NHS Information Centre for Health and Social Care (HES)
|
| "Rates per 1,000 population were calculated based on SHA and PCT level Mid 2006 Population Estimates, 2001 Census Based. ONS Population Estimates Unit".
|
Footnotes:
|
| 1. Consultant Episode: A consultant episode is defined as a period of admitted patient care under one consultant within one healthcare provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.
|
2. Main Specialty Codes included are as follows:
710 = Mental illness
711 = Child and adolescent psychiatry
712 = Forensic psychiatry
713 = Psychotherapy
715 = Old age psychiatry (available from 1990-91)
|
3. Specialty : Care is needed when analysing HES data by specialty, or by groups of specialties (such as Acute). Trusts have different ways of managing specialties and attributing codes so it is better to analyse by specific diagnoses, operations or other recorded information.
|
4. Primary Care Trust (PCT) and Strategic Health Authority (SHA) Data Quality
PCT and SHA data was added to historic data-years in the HES database using 2002-03 boundaries, as a one-off exercise in 2004. The quality of the data on PCT of Treatment and SHA of Treatment is poor in 1996-97, 1997-98 and 1998-99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of GP practice and SHA of GP practice in 1997-98 and 1998-99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence-based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data.
|
5. Data Quality : Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS Trusts, and Primary Care Trusts (PCTs) in England. Data is also received from a number of Independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. Whilst this brings about improvement over time, some shortcomings remain.
|
6. Assessing growth through time : HES figures are available from 1989-90 onwards. During the years that these records have been collected the NHS there have been ongoing improvements in quality and coverage. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series.
Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
Changes in NHS practice also need to be borne in mind when analysing time series. For example a number of procedures may now be undertaken in outpatient settings and may no longer be accounted in the HES data. This may account for any reductions in activity over time.
|
7. * PCT's 5LH, 5QG and 5K3 have accessed services outside their SHA area. Where these occurred, the counts for PCT activity outside their SHA have been added to SHA total under which the PCT normally sits.
|
Table 55c
NUMBER OF CONSULTANT EPISODES (FINISHED AND UNFINISHED)
FOR PATIENTS WITH MENTAL ILLNESS, AND RATES PER 1,000 POPULATION
BY SHA OF RESIDENCE AND PCT OF RESIDENCE IN NHS HOSPITALS AND
THE INDEPENDENT SECTOR IN ENGLAND, COMMISSIONED BY ENGLISH NHS
IN THE YEAR 2007-08
|
| |
| 2007-08
|
| Organisation code |
| Total | Rate per 1,000
population
|
|
| | England
| 153,303 | 3.00
|
| Q30 | NORTH EAST STRATEGIC HEALTH AUTHORITY
| 8,167 | 3.18
|
| 5D7 | NEWCASTLE PCT | 1,121
| 4.13 |
| 5D8 | NORTH TYNESIDE PCT |
569 | 2.90
|
| 5D9 | HARTLEPOOL PCT | 221
| 2.42 |
| 5E1 | NORTH TEES TEACHING PCT
| 421 | 2.21
|
| 5J9 | DARLINGTON PCT | 458
| 4.58 |
| 5KF | GATESHEAD PCT | 758
| 3.98 |
| 5KG | SOUTH TYNESIDE PCT |
546 | 3.62
|
| 5KL | SUNDERLAND TEACHING PCT
| 801 | 2.86
|
| 5KM | MIDDLESBROUGH PCT |
553 | 3.99
|
| 5ND | COUNTY DURHAM PCT |
1,481 | 2.93
|
| 5QR | REDCAR AND CLEVELAND PCT
| 440 | 3.16
|
| TAC | NORTHUMBERLAND CARE TRUST
| 798 | 2.57
|
| Q31 | NORTH WEST STRATEGIC HEALTH AUTHORITY
| 24,113 | 3.50
|
| 5CC | BLACKBURN WITH DARWEN PCT
| 603 | 4.28
|
| 5F5 | SALFORD PCT | 1,019
| 4.65 |
| 5F7 | STOCKPORT PCT | 989
| 3.52 |
| 5HG | ASHTON, LEIGH AND WIGAN PCT
| 1,002 | 3.28
|
| 5HP | BLACKPOOL PCT | 694
| 4.87 |
| 5HQ | BOLTON PCT | 957
| 3.65 |
| 5J2 | WARRINGTON PCT | 522
| 2.67 |
| 5J4 | KNOWSLEY PCT | 708
| 4.69 |
| 5J5 | OLDHAM PCT | 843
| 3.84 |
| 5JX | BURY PCT | 672
| 3.67 |
| 5LH | TAMESIDE AND GLOSSOP PCT
| 994 | 4.00
|
| 5NE | CUMBRIA TEACHING PCT |
1,341 | 2.70
|
| 5NF | NORTH LANCASHIRE TEACHING PCT
| 1,040 | 3.14
|
| 5NG | CENTRAL LANCASHIRE PCT
| 1,683 | 3.72
|
| 5NH | EAST LANCASHIRE TEACHING PCT
| 1,442 | 3.75
|
| 5NJ | SEFTON PCT | 834
| 3.02 |
| 5NK | WIRRAL PCT | 986
| 3.18 |
| 5NL | LIVERPOOL PCT | 2,113
| 4.85 |
| 5NM | HALTON AND ST HELENS PCT
| 917 | 3.09
|
| 5NN | WESTERN CHESHIRE PCT |
569 | 2.42
|
| 5NP | CENTRAL AND EASTERN CHESHIRE PCT
| 1,035 | 2.28
|
| 5NQ | HEYWOOD, MIDDLETON AND ROCHDALE PCT
| 794 | 3.85
|
| 5NR | TRAFFORD PCT | 553
| 2.60 |
| 5NT | MANCHESTER PCT | 1,803
| 3.94 |
| Q32 | YORKSHIRE AND THE HUMBER STRATEGIC HEALTH AUTHORITY
| 16,353 | 3.16
|
| 5EF | NORTH LINCOLNSHIRE PCT
| 30 | 0.19
|
| 5H8 | ROTHERHAM PCT | 949
| 3.74 |
| 5J6 | CALDERDALE PCT | 484
| 2.42 |
| 5JE | BARNSLEY PCT | 384
| 1.71 |
| 5N1 | LEEDS PCT | 4,479
| 5.88 |
| 5N2 | KIRKLEES PCT | 850
| 2.12 |
| 5N3 | WAKEFIELD DISTRICT PCT
| 1,237 | 3.85
|
| 5N4 | SHEFFIELD PCT | 1,408
| 2.65 |
| 5N5 | DONCASTER PCT | 717
| 2.46 |
| 5NV | NORTH YORKSHIRE AND YORK PCT
| 2,181 | 2.76
|
| 5NW | EAST RIDING OF YORKSHIRE PCT
| 502 | 1.51
|
| 5NX | HULL TEACHING PCT |
729 | 2.84
|
| 5NY | BRADFORD AND AIREDALE TEACHING PCT
| 2,053 | 4.13
|
| TAN | NORTH EAST LINCOLNSHIRE CARE TRUST PLUS
| 350 | 2.19
|
| Q33 | EAST MIDLANDS STRATEGIC HEALTH AUTHORITY
| 12,390 | 2.84
|
| 5EM | NOTTINGHAM CITY PCT |
1,346 | 4.66
|
| 5ET | BASSETLAW PCT | 324
| 2.90 |
| 5N6 | DERBYSHIRE COUNTY PCT
| 2,012 | 2.78
|
| 5N7 | DERBY CITY PCT | 740
| 3.11 |
| 5N8 | NOTTINGHAMSHIRE COUNTY TEACHING PCT
| 1,707 | 2.59
|
| 5N9 | LINCOLNSHIRE TEACHING PCT
| 1,474 | 2.12
|
| 5PA | LEICESTERSHIRE COUNTY AND RUTLAND PCT
| 1,530 | 2.25
|
| 5PC | LEICESTER CITY PCT |
1,033 | 3.53
|
| 5PD | NORTHAMPTONSHIRE TEACHING PCT
| 2,224 | 3.28
|
| Q34 | WEST MIDLANDS STRATEGIC HEALTH AUTHORITY
| 13,797 | 2.56
|
| 5CN | HEREFORDSHIRE PCT |
344 | 1.93
|
| 5M1 | SOUTH BIRMINGHAM PCT |
1,279 | 3.79
|
| 5M2 | SHROPSHIRE COUNTY PCT
| 840 | 2.89
|
| 5M3 | WALSALL TEACHING PCT |
512 | 2.01
|
| 5MD | COVENTRY TEACHING PCT
| 896 | 2.92
|
| 5MK | TELFORD AND WREKIN PCT
| 411 | 2.54
|
| 5MV | WOLVERHAMPTON CITY PCT
| 524 | 2.22
|
| 5MX | HEART OF BIRMINGHAM TEACHING PCT
| 678 | 2.50
|
| 5PE | DUDLEY PCT | 620
| 2.03 |
| 5PF | SANDWELL PCT | 643
| 2.24 |
| 5PG | BIRMINGHAM EAST AND NORTH PCT
| 900 | 2.24
|
| 5PH | NORTH STAFFORDSHIRE PCT
| 816 | 3.85
|
| 5PJ | STOKE ON TRENT PCT |
1,128 | 4.57
|
| 5PK | SOUTH STAFFORDSHIRE PCT
| 1,180 | 1.95
|
| 5PL | WORCESTERSHIRE PCT |
1,348 | 2.43
|
| 5PM | WARWICKSHIRE PCT |
1,263 | 2.40
|
| TAM | SOLIHULL CARE TRUST |
415 | 2.04
|
| Q35 | EAST OF ENGLAND STRATEGIC HEALTH AUTHORITY
| 13,226 | 2.34
|
| 5GC | LUTON PCT | 419
| 2.22 |
| 5P1 | SOUTH EAST ESSEX PCT |
1,153 | 3.46
|
| 5P2 | BEDFORDSHIRE PCT |
676 | 1.66
|
| 5P3 | EAST AND NORTH HERTFORDSHIRE PCT
| 684 | 1.29
|
| 5P4 | WEST HERTFORDSHIRE PCT
| 709 | 1.33
|
| 5PN | PETERBOROUGH PCT |
372 | 2.28
|
| 5PP | CAMBRIDGESHIRE PCT |
1,177 | 1.97
|
| 5PQ | NORFOLK PCT | 1,707
| 2.29 |
| 5PR | GREAT YARMOUTH AND WAVENEY PCT
| 721 | 3.41
|
| 5PT | SUFFOLK PCT | 1,492
| 2.52 |
| 5PV | WEST ESSEX PCT | 694
| 2.51 |
| 5PW | NORTH EAST ESSEX PCT |
1,068 | 3.32
|
| 5PX | MID ESSEX PCT | 886
| 2.43 |
| 5PY | SOUTH WEST ESSEX PCT |
1,468 | 3.75
|
| Q36 | LONDON STRATEGIC HEALTH AUTHORITY
| 28,626 | 3.79
|
| 5A4 | HAVERING PCT | 1,069
| 4.68 |
| 5A5 | KINGSTON PCT | 684
| 4.33 |
| 5A7 | BROMLEY PCT | 902
| 3.00 |
| 5A8 | GREENWICH TEACHING PCT
| 1,286 | 5.76
|
| 5A9 | BARNET PCT | 688
| 2.09 |
| 5AT | HILLINGDON PCT | 444
| 1.77 |
| 5C1 | ENFIELD PCT | 778
| 2.73 |
| 5C2 | BARKING AND DAGENHAM PCT
| 1,121 | 6.72
|
| 5C3 | CITY AND HACKNEY TEACHING PCT
| 1,394 | 6.41
|
| 5C4 | TOWER HAMLETS PCT |
926 | 4.30
|
| 5C5 | NEWHAM PCT | 980
| 3.93 |
| 5C9 | HARINGEY TEACHING PCT
| 977 | 4.35
|
| 5H1 | HAMMERSMITH AND FULHAM PCT
| 328 | 1.90
|
| 5HX | EALING PCT | 516
| 1.69 |
| 5HY | HOUNSLOW PCT | 410
| 1.86 |
| 5K5 | BRENT TEACHING PCT |
779 | 2.89
|
| 5K6 | HARROW PCT | 479
| 2.23 |
| 5K7 | CAMDEN PCT | 1,405
| 6.06 |
| 5K8 | ISLINGTON PCT | 1,280
| 6.81 |
| 5K9 | CROYDON PCT | 922
| 2.72 |
| 5LA | KENSINGTON AND CHELSEA PCT
| 621 | 3.48
|
| 5LC | WESTMINSTER PCT | 823
| 3.52 |
| 5LD | LAMBETH PCT | 763
| 2.79 |
| 5LE | SOUTHWARK PCT | 1,118
| 4.07 |
| 5LF | LEWISHAM PCT | 1,024
| 3.96 |
| 5LG | WANDSWORTH PCT | 1,307
| 4.64 |
| 5M6 | RICHMOND AND TWICKENHAM PCT
| 734 | 4.08
|
| 5M7 | SUTTON AND MERTON PCT
| 1,568 | 4.07
|
| 5NA | REDBRIDGE PCT | 1,017
| 4.00 |
| 5NC | WALTHAM FOREST PCT |
1,645 | 7.40
|
| TAK | BEXLEY CARE TRUST |
638 | 2.87
|
| Q37 | SOUTH EAST COAST STRATEGIC HEALTH AUTHORITY
| 10,945 | 2.56
|
| 5L3 | MEDWAY PCT | 990
| 3.93 |
| 5LQ | BRIGHTON AND HOVE CITY PCT
| 1,200 | 4.73
|
| 5P5 | SURREY PCT | 1,420
| 1.31 |
| 5P6 | WEST SUSSEX PCT | 2,038
| 2.63 |
| 5P7 | EAST SUSSEX DOWNS AND WEALD PCT
| 923 | 2.78
|
| 5P8 | HASTINGS AND ROTHER PCT
| 583 | 3.30
|
| 5P9 | WEST KENT PCT | 1,712
| 2.56 |
| 5QA | EASTERN AND COASTAL KENT PCT
| 2,079 | 2.86
|
| Q38 | SOUTH CENTRAL STRATEGIC HEALTH AUTHORITY
| 10,727 | 2.66
|
| 5CQ | MILTON KEYNES PCT |
539 | 2.30
|
| 5FE | PORTSMOUTH CITY TEACHING PCT
| 1,040 | 5.26
|
| 5L1 | SOUTHAMPTON CITY PCT |
899 | 3.89
|
| 5QC | HAMPSHIRE PCT | 4,090
| 3.20 |
| 5QD | BUCKINGHAMSHIRE PCT |
972 | 1.93
|
| 5QE | OXFORDSHIRE PCT | 1,201
| 1.96 |
| 5QF | BERKSHIRE WEST PCT |
681 | 1.51
|
| 5QG | BERKSHIRE EAST PCT |
816 | 2.11
|
| 5QT | ISLE OF WIGHT NHS PCT
| 489 | 3.51
|
| Q39 | SOUTH WEST STRATEGIC HEALTH AUTHORITY
| 14,959 | 2.89
|
| 5A3 | SOUTH GLOUCESTERSHIRE PCT
| 327 | 1.27
|
| 5F1 | PLYMOUTH TEACHING PCT
| 727 | 2.90
|
| 5FL | BATH AND NORTH EAST SOMERSET PCT
| 394 | 2.21
|
| 5K3 | SWINDON PCT | 331
| 1.70 |
| 5M8 | NORTH SOMERSET PCT |
454 | 2.22
|
| 5QH | GLOUCESTERSHIRE PCT |
1,497 | 2.57
|
| 5QJ | BRISTOL PCT | 1,409
| 3.38 |
| 5QK | WILTSHIRE PCT | 717
| 1.58 |
| 5QL | SOMERSET PCT | 2,002
| 3.83 |
| 5QM | DORSET PCT | 1,218
| 2.99 |
| 5QN | BOURNEMOUTH AND POOLE TEACHING PCT
| 1,487 | 4.94
|
| 5QP | CORNWALL AND ISLES OF SCILLY PCT
| 1,663 | 3.13
|
| 5QQ | DEVON PCT | 2,332
| 3.11 |
| TAL | TORBAY CARE TRUST |
401 | 2.99
|
| Source: |
NHS Information Centre for Health and Social Care (HES)
"Rates per 1,000 population were calculated based on SHA and PCT level Mid 2006 Population Estimates, 2001 Census Based. ONS Population Estimates Unit".
|
Footnotes:
|
| 1. Counts of Consultant Episodes (Finished and Unfinished) for Mental Health Main Specialties (Main Specialty = 710-715) and Rates per 1,000 population by SHA of Residence and PCT of Residence. Counts are limited to consultant episodes where the Strategic Health Authority of Residence were England, NHS Hospitals England and activity performed in the Independent sector in England commissioned by English NHS, 2007-08.
|
2. PCT's 5LH, 5N9, 5QG and 5K3 has accessed services outside their SHA area. Where these occurred, the counts for PCT activity outside their SHA has been added to SHA total under which the PCT normally sits under.
|
3. Consultant Episode—A consultant episode is defined as a period of admitted patient care under one consultant within one healthcare provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.
|
4. Main Specialty Codes included are as follows:
710 = Mental illness
711 = Child and adolescent psychiatry
712 = Forensic psychiatry
713 = Psychotherapy
715 = Old age psychiatry (available from 1990-91)
|
5. Specialty—Care is needed when analysing HES data by specialty, or by groups of specialties (such as Acute). Trusts have different ways of managing specialties and attributing codes so it is better to analyse by specific diagnoses, operations or other recorded information.
|
6. Primary Care Trust (PCT) and Strategic Health Authority (SHA) Data Quality
PCT and SHA data was added to historic data-years in the HES database using 2002-03 boundaries, as a one-off exercise in 2004. The quality of the data on PCT of Treatment and SHA of Treatment is poor in 1996-97, 1997-98 and 1998-99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of GP practice and SHA of GP practice in 1997-98 and 1998-99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence-based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data.
|
7. Data Quality—Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS Trusts, and Primary Care Trusts (PCTs) in England. Data is also received from a number of Independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. Whilst this brings about improvement over time, some shortcomings remain.
|
8. Assessing growth through time—HES figures are available from 1989-90 onwards. During the years that these records have been collected the NHS there have been ongoing improvements in quality and coverage. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity. Changes in NHS practice also need to be borne in mind when analysing time series. For example a number of procedures may now be undertaken in outpatient settings and may no longer be accounted in the HES data. This may account for any reductions in activity over time.
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